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Mississippi rates for HCPCS A9543

Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,069.34 / $66,069.34 / $97,723.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,565.42 / $67,608.30 / $97,723.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $69,183.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $60,255.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,565.42 / $67,608.30 / $77,624.71